Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.15 / $126.15 / $192.00	Facility		$126.15	$126.15	$192.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $99.48 / $119.45	Professional		$83.50	$99.48	$119.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.39 / $97.39 / $97.39	Professional		$97.39	$97.39	$97.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $127.58 / $205.31	Professional		$107.28	$127.58	$205.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.31 / $118.31 / $118.31	Facility		$118.31	$118.31	$118.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $92.85 / $92.85	Professional		$92.85	$92.85	$92.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $118.31 / $118.31 / $118.31	Facility		$118.31	$118.31	$118.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $92.85 / $92.85	Professional		$92.85	$92.85	$92.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.10 / $104.04 / $148.70	Professional		$79.10	$104.04	$148.70
United Facility/Professional Professional Modifier Low / Median / High Price $87.77 / $120.52 / $215.54	Professional		$87.77	$120.52	$215.54